MARILYN PATRICE PALM DDS - Dentist License in Illinois | # 019017917

MARILYN PATRICE PALM DDS

Business Entity

NOT RENEWED

License Type

Dentist

Description

LICENSED DENTIST

License Number

019017917

License Status

NOT RENEWED

Business

N

First Name

MARILYN PATRICE

Last Name

PALM

Suffix

DDS

Business Name

MARILYN PATRICE PALM DDS

Original Issue Date

09/25/1981

Effective Date

10/01/2006

Expiration Date

09/30/2009

State

IL

Ever Disciplined

N

LastModifiedDate

01/08/2010